RATHIPRIYA MAHENDRAN MD
NPI 1982685533
Internal Medicine - Medical Oncology in Marion, IN

Active since November 10, 2005PECOS EnrolledAccepts Medicare Assignment
83.71/100
CMS Quality Rating
831 THEATRE DRIVE, MARION, IN 46952(765) 660-7800(765) 662-4470 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rathipriya Mahendran Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RATHIPRIYA MAHENDRAN MD (NPI 1982685533) is an individual medical oncology provider in Marion, Indiana, licensed in Indiana (01054397A) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1982685533
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameRATHIPRIYA MAHENDRANCredential: MD
Location Address831 THEATRE DRIVEMarion, IN 46952-4470
Mailing Address330 North Wabash Ave, Suite G20Marion, IN 46952-2600 · (765) 660-7600 · Fax (765) 651-7313
Fax(765) 662-4470
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateNovember 10, 2005
Last NPPES UpdateOctober 20, 2020
NPPES CertifiedOctober 20, 2020
NPI 1982685533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in IN · 01054397A
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
831 THEATRE DRIVE, Marion, IN 46952

Other Identifiers 2

Other000000214428IN · Anthem Bcbs
Medicaid200371420IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rathipriya Mahendran Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092755801
PECOS Enrollment IDI20100618000302
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
334 services143 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
172 services126 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marion General Hospital

Acute Care Hospitals · Marion, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150011
Location441 N Wabash AveMarion, IN 46952 · Grant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46952 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.94
Promoting Interoperability95
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
831 THEATRE DRIVE
MARION, IN 46952

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rathipriya Mahendran's NPI number?

The NPI number for Rathipriya Mahendran is 1982685533. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Rathipriya Mahendran located?

Rathipriya Mahendran practices at 831 Theatre Drive, Marion, IN 46952. The listed phone number is (765) 660-7800.

What is Rathipriya Mahendran's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Rathipriya Mahendran enrolled in Medicare?

Yes. Rathipriya Mahendran is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rathipriya Mahendran accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Rathipriya Mahendran as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rathipriya Mahendran affiliated with any hospitals?

According to CMS data, Rathipriya Mahendran is affiliated with Marion General Hospital.

When was this NPI record last updated?

The NPPES record for Rathipriya Mahendran was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.